Individual
LAUREN KATHLEEN CALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
721 DUNAWAY LN, AZLE, TX 76020-2605
(817) 444-2536
Mailing address
1705 SE 11TH ST, MINERAL WELLS, TX 76067-6609
(817) 629-0077
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215874
TX
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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